ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KÊT QUẢ ĐIỀU TRỊ U XƠ TỬ CUNG BẰNG PHẪU THUẬT TẠI BỆNH VIỆN ĐA KHOA TỈNH TUYÊN QUANG

Abstract

Tuyen Quang province general hospital has conducted new surgery methods to treat metrofibroma so need summary for experience. Purposes: (1) Describe the clinical and sub-clinical treatment metrofibroma by surgery patients in Tuyen Quang province general hospital 2019 – 2020; (2) Review the outcome of treatment. Subject and Method: cross sectional study on 189 patient diagnosed metrofibroma and surgery in Tuyen Quang province general hospital from Jan 2019 to Dec 2020. Results: Average age was 41.8 ± 3.8 (min 37 – max 59). 16.4% patients have primary school degree. 50% patients have duration of suffering from metrofibroma over one year. Comment symptoms: pelvic pain, bleeding, abnormal urinary  were 93.7%, 49.7 and 38.6%, respectively. 11 (5.8%) patients reveived laparoscopy and 178 (94.2%) received open surgery. Percentage of hysteroscopic myomectomy, partial hysterectomy, total hysterectomy were 26.9%; 34.4% and  38.7%.  Percentage of ovarian conservation, one or two ovarian removal patients were 51.9%; 35.4% and 12.7%, respectively. Only 4 patients (2.1%) suffered from infection and 0.5% suffered from organ injury. Conclusion, we have to concentrate on examination, evaluation and effected factor for suitable treatment selection.